ACMT Toxicology Visual Pearls: Toxic “Weed”
A patient presents to the ED after eating seeds from a plant to “get high.” What toxidrome is expected after ingesting these seeds?
- Antimuscarinic
- Cholinergic
- Nicotinic
- Opioid
- Sympathomimetic
ACMT Toxicology Visual Pearls: Drug-Induced QT Prolongation
Which over-the-counter medication can be associated with these EKG findings in overdose?
- Aspirin
- Guaifenesin
- Loperamide
- Pseudoephedrine
- Senna
ACMT Toxicology Visual Pearls: Discolored Skin and Urine
A patient is brought to the Emergency Department by EMS (Emergency Medical Services) from a house fire. The patient’s skin and urine are discolored as shown. What is the most likely cause of the discoloration?
- Acute liver failure
- An antidote administered by prehospital provider
- Carbon monoxide poisoning
- Massive hemolysis
ACMT Toxicology Visual Pearls: Exotic Viper Envenomation
A man was bitten twice on the dorsal radial aspect of his right hand while feeding his pet West African Bush Viper. The patient immediately tied multiple tourniquets around his right arm before presenting to the emergency department. During examination he is complaining of swelling and severe pain in his right upper extremity, but has no other complaints. What are the appropriate next steps in managing this patient?
- Apply ice to the bites
- Measure compartment pressures in the right arm and forearm
- Perform a fasciotomy
- Remove the tourniquets and order hematologic studies
- Use a venom extractor to reduce venom burden
ACMT Toxicology Visual Pearls: Suicide plant
The seeds of the Suicide Plant, when ingested, may result in significant toxicity, including the ECG findings shown. Which kind of toxicity does it cause?
- Anticholinergic poisoning
- Cardiac glycoside poisoning
- Cardiac sodium channel blockade
- Cholinergic poisoning
- Nicotinic poisoning